<!--academic details strats-->
<div class="academic_details">
<!--scroll container starts-->   
 <div id="description1">
    <!--form starts-->
          <?php echo form_open(base_url().BASE.'join_as_submit_detail_continue', array('id' => 'join_as_form_institution_detail2', 'autocomplete' => 'off')); ?>                                                          <div class="add">
         </div> 
            <!--form_fields1 starts-->                                                          
                <div class="form_fields">
                <div class="textfield_box">
                     <input type="email" name="email" onBlur="this.value=jQuery.trim(this.value)"  value="<?php if(isset($input_data['email']))echo strip_tags($input_data['email']); ?>" placeholder="Email" id="email1" class="detailed_textfield2 content_pink"> 
                     </div>
                     
                     <div class="textfield_box">
                     <input type="password" id="password" onBlur="this.value=jQuery.trim(this.value)" value="<?php //if(isset($input_data['password']))echo $input_data['password']; ?>" name="password" placeholder="Password" class="detailed_textfield2 content_blue">
                     </div>
                     
                      <!--<div class="textfield_box">
                    <input type="password" id="reconfirming_password" value="" name="reconfirming_password" placeholder="Reconfirming password" class="detailed_textfield4 content_blue">
                     </div>-->
                     <div class="textfield_box">
                        <input type="text" name="first_name" onBlur="this.value=jQuery.trim(this.value)"  value="<?php if(isset($input_data['first_name']))echo strip_tags($input_data['first_name']); ?>" placeholder="First name" id="first_name" class="detailed_textfield4 content_pink"> 
                     <input type="text" id="last_name" onBlur="this.value=jQuery.trim(this.value)" value="<?php if(isset($input_data['last_name']))echo strip_tags($input_data['last_name']); ?>" name="last_name" placeholder="Last name" class="detailed_textfield4 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <input type="text" name="Shortname" onBlur="this.value=jQuery.trim(this.value)" id="Shortname" value="<?php if(isset($input_data['Shortname']))echo strip_tags($input_data['Shortname']); ?>" placeholder="Shortname" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <textarea name="tagline" onBlur="this.value=jQuery.trim(this.value)" placeholder="Tagline" class="content_blue detailed_textfield2"><?php if(isset($input_data['tagline']))echo strip_tags($input_data['tagline']); ?></textarea>
                    </div>
                    
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Founded_in" id="Founded_in" value="<?php if(isset($input_data['Founded_in']))echo strip_tags($input_data['Founded_in']); ?>" placeholder="Founded in" class="detailed_textfield2 content_blue">
                    </div>
                     
                    <div class="textfield_box">
                        <div class="country_form country1_form detailed_textfield content_pink"><?php if(isset($input_data['country']) && $input_data['country']!='')echo strip_tags($input_data['country_1']);else echo 'Country'; ?></div>
                    </div>
                    
                    <div class="clear"></div> 
                    
                    <div class="textfield_box">
                       <div class="state_form state1_form detailed_textfield content_pink"><?php if(isset($input_data['state']) && $input_data['state']!='')echo strip_tags($input_data['state_1']);else echo 'State'; ?></div>
                       <div class="city_form city1_form detailed_textfield content_blue">  <?php if(isset($input_data['city']) && $input_data['city']!='')echo $input_data['city_1'];else echo 'City'; ?></div>
                        <!--<input type="text" name="city" id="city" value="" readonly placeholder="City" class="detailed_textfield content_pink">
                        <input type="text" name="state" id="state" value="" readonly placeholder="State" class="detailed_textfield content_blue">-->
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="postal_code" id="postal_code" value="<?php if(isset($input_data['postal_code']))echo strip_tags($input_data['postal_code']); ?>" placeholder="Postal Code" class="detailed_textfield content_pink">
                        <div class="clear"></div>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <textarea name="Address" onBlur="this.value=jQuery.trim(this.value)" id="Address" placeholder="Address" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Address']))echo strip_tags($input_data['Address']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="phone_number1" id="phone_number1" value="<?php if(isset($input_data['phone_number1']))echo strip_tags($input_data['phone_number1']); ?>" placeholder="Phone Number 1" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="phone_number2" id="phone_number2" value="<?php if(isset($input_data['phone_number2']))echo strip_tags($input_data['phone_number2']); ?>" placeholder="Phone Number 2" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="phone_number3" id="phone_number3" value="<?php if(isset($input_data['phone_number3']))echo strip_tags($input_data['phone_number3']); ?>" placeholder="Phone Number 3" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                   
                   <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Branches1" id="Branches1" value="<?php if(isset($input_data['Branches1']))echo strip_tags($input_data['Branches1']); ?>" placeholder="Branches 1" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Branches2" id="Branches2" value="<?php if(isset($input_data['Branches2']))echo strip_tags($input_data['Branches2']); ?>" placeholder="Branches 2" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Branches3" id="Branches3" value="<?php if(isset($input_data['Branches3']))echo strip_tags($input_data['Branches3']); ?>" placeholder="Branches 3" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                   
                    <div class="textfield_box">
                        <textarea name="About_Us" onBlur="this.value=jQuery.trim(this.value)" id="About_Us" placeholder="About Us" class="detailed_textfield2 content_pink"><?php if(isset($input_data['About_Us']))echo strip_tags($input_data['About_Us']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Institution_Head" id="Institution_Head" value="<?php if(isset($input_data['Institution_Head']))echo strip_tags($input_data['Institution_Head']); ?>" placeholder="Institution Head" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Management_Team1" id="Management_Team1" value="<?php if(isset($input_data['Management_Team1']))echo strip_tags($input_data['Management_Team1']); ?>" placeholder="Management Team" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Management_Team2" id="Management_Team2" value="<?php if(isset($input_data['Management_Team2']))echo strip_tags($input_data['Management_Team2']); ?>" placeholder="Management Team" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Management_Team3" id="Management_Team3" value="<?php if(isset($input_data['Management_Team3']))echo strip_tags($input_data['Management_Team3']); ?>" placeholder="Management Team" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Board_Affiliation1" id="Board_Affiliation1" value="<?php if(isset($input_data['Board_Affiliation1']))echo strip_tags($input_data['Board_Affiliation1']); ?>" placeholder="Board Affiliation" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                     
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Board_Affiliation2" id="Board_Affiliation2" value="<?php if(isset($input_data['Board_Affiliation2']))echo strip_tags($input_data['Board_Affiliation2']); ?>" placeholder="Board Affiliation" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                    
                    <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Board_Affiliation3" id="Board_Affiliation3" value="<?php if(isset($input_data['Board_Affiliation3']))echo strip_tags($input_data['Board_Affiliation3']); ?>" placeholder="Board Affiliation" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <input type="text" onBlur="this.value=jQuery.trim(this.value)" name="Classes" id="Classes" value="<?php if(isset($input_data['Classes']))echo strip_tags($input_data['Classes']); ?>" placeholder="Classes" class="detailed_textfield2 content_blue">
                    </div>
                    <div class="clear"></div>
                     
                      <div class="textfield_box">
                        <textarea name="Amenities" onBlur="this.value=jQuery.trim(this.value)" id="Amenities" placeholder="Amenities" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Amenities']))echo strip_tags($input_data['Amenities']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <textarea name="Recommendations" onBlur="this.value=jQuery.trim(this.value)" id="Recommendations" placeholder="Recommendations" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Recommendations']))echo strip_tags($input_data['Recommendations']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <textarea name="Associations" onBlur="this.value=jQuery.trim(this.value)" id="Associations" placeholder="Associations" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Associations']))echo strip_tags($input_data['Associations']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <textarea name="Tournaments" onBlur="this.value=jQuery.trim(this.value)" id="Tournaments" placeholder="Tournaments" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Tournaments']))echo strip_tags($input_data['Tournaments']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <textarea name="Achievements" onBlur="this.value=jQuery.trim(this.value)" id="Achievements" placeholder="Achievements" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Achievements']))echo strip_tags($input_data['Achievements']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                     <div class="textfield_box">
                        <textarea name="SUPW" id="SUPW" onBlur="this.value=jQuery.trim(this.value)" placeholder="SUPW" class="detailed_textfield2 content_pink"><?php if(isset($input_data['SUPW']))echo strip_tags($input_data['SUPW']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="textfield_box">
                        <textarea name="Internship_Opportunities" onBlur="this.value=jQuery.trim(this.value)" id="Internship_Opportunities" placeholder="Internship_Opportunities" class="detailed_textfield2 content_pink"><?php if(isset($input_data['Internship_Opportunities']))echo strip_tags($input_data['Internship_Opportunities']); ?></textarea>
                    </div>
                    <div class="clear"></div>
                    
                    <div class="submit_button">
                        <input type="button" value="" name="personal_detail_college" id="personal_detail2">
                    </div>
                
            </div>
             <!--select school starts-->
                    <div class="select_stateform select_state1form content_pink">
                            <div class="go_back">
                                <a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
                            </div>
                            <input type="text" id="state1" maxlength="100" name="state" placeholder="State" value="<?php if(isset($input_data['state']))echo strip_tags($input_data['state']); ?>" class="textfield content_pink" data-autosize-input='{"space":10}' autocomplete="off">
                            <?php echo $static_text['we_are_located']; ?>
                            <input type="hidden" id="state1_1" name="state_1" value="<?php if(isset($input_data['state_1']))echo strip_tags($input_data['state_1']); ?>">
                            <div class="result_not_found" style="display:none;"><a href="javascript:void(0);">
                                <img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
                            </div>
                            <br>
                            <div id="state1_result">
                            </div>
	                  </div>
                <!--slelect shool closed-->
                 <!--select country starts-->
                    <div class="select_countryform select_country1form content_pink">
                            <div class="go_back">
                                <a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
                            </div>
                            <input type="text" id="country1" maxlength="100" name="country" placeholder="Country" value="<?php if(isset($input_data['country']))echo strip_tags($input_data['country']); ?>" class="textfield content_pink" data-autosize-input='{"space":10}' autocomplete="off">
                            <?php echo $static_text['we_are_located']; ?>
                            <input type="hidden" id="country1_1" name="country_1" value="<?php if(isset($input_data['country_1']))echo strip_tags($input_data['country_1']); ?>">
                            <div class="result_not_found" style="display:none;"><a href="javascript:void(0);">
                                <img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
                            </div>
                            <br>
                            <div id="country1_result">
                            </div>
	                  </div>
                <!--slelect country closed-->

                <!--select class starts-->
                    <div class="select_cityform select_city1form content_blue">
                            <div class="go_back">
                            <a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
                            </div>
                            <input type="text" id="city1" maxlength="100" name="city" placeholder="City" value="<?php if(isset($input_data['city']))echo $input_data['city']; ?>" class="textfield content_blue" data-autosize-input='{"space":10}' autocomplete="off">
                            <?php echo $static_text['we_are_located']; ?>
                            <input type="hidden" id="city1_1" name="city_1" value="<?php if(isset($input_data['city_1']))echo $input_data['city_1']; ?>">
                            <div class="result_not_found"  style="display:none;"><a href="javascript:void(0);">
                                <img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
                            </div>
                            <br>
                            <div id="city1_result">
                            </div>
						</div>
                          <input type="hidden" name="member_type" id="member_type" value="<?php if(isset($member_type)){ echo $member_type;} ?>"  />
                          <input type="hidden" name="institution_type" id="institution_type" value="college"  />
                          
                <!--slelect class closed-->
              <?php echo form_close(); ?>     
            <!--form_field1 closed-->
          
 </div>
 </div>
<!--scroll container starts-->

<!--academic details closed-->